Provider Demographics
NPI:1629455894
Name:HOWELL, EMILY A (MS,, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MS,, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:HERRIN
Mailing Address - State:IL
Mailing Address - Zip Code:62948-1438
Mailing Address - Country:US
Mailing Address - Phone:618-303-3123
Mailing Address - Fax:
Practice Address - Street 1:505 N 20TH ST
Practice Address - Street 2:
Practice Address - City:HERRIN
Practice Address - State:IL
Practice Address - Zip Code:62948-1438
Practice Address - Country:US
Practice Address - Phone:618-303-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.012306235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist